Individual
VIRGINA SELLARS GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
43 POPLAR ST, CHARLESTON, SC 29403-3736
(910) 512-5488
Mailing address
930 FOLLY RD STE B, CHARLESTON, SC 29412-3938
(843) 314-5434
(843) 277-6237
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5467
SC
235Z00000X
Speech-Language Pathologist
8848
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA1449
—
SC
Enumeration date
11/08/2010
Last updated
03/25/2019
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